Dr. Vasant L. Garde

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

10226 Issued in SC

Legal business name

DR. VASANT L. GARDE

Practice address

120 Louie Street
Wagener, SC 29164

Phone

(803) 564-8803

Fax

(803) 564-8804

NPI assigned

Apr 25, 2012

Last updated

Apr 25, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vasant L Garde, MD

Title

Owner

Phone

(803) 564-8803

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1902164171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 TWO NOTCH RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738827",
            "telephone_number": "803-356-2262",
            "fax_number": "803-957-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOUIE STREET",
            "city": "WAGENER",
            "state": "SC",
            "postal_code": "29164",
            "telephone_number": "803-564-8803",
            "fax_number": "803-564-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VASANT L. GARDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "GARDE",
        "authorized_official_first_name": "VASANT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-564-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "10226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102267",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barnwell County Hospital (Wagener Medical Center)
• Erin Patricia Beaudry, FNP
• Bela Family Dentistry of Wagener
• Carolina Cataract Clinic
• Carolina Rural Practice Management, Inc. (Wagener Medical Center)
• Shaquanda Denae Dunbar
• John Robert Dunn III, M.D.
• Theresa Krafnick Dyches, RPH
• Julian Harrison Fair III, DMD
• Denise Alxandria Faust, NURSING ASSTISTANT

• Rural Health Clinic/Center in Wagener, SC
• Providers in Wagener, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.